Active NPI
Mary Rose Resultan Regalado
- Physical Therapist
- Bakersfield, CA
National Provider Identifier
1275958688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33750
- Practice address
- 6212 Tudor Way
Bakersfield, CA 93306-7067 - Phone
- (661) 871-3133
- NPI assigned
- Feb 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT33750 | CA | Primary |
Addresses
Primary practice location
6212 Tudor Way
Bakersfield, CA 93306-7067
Mailing address
10109 Silverthorne Dr
Bakersfield, CA 93314-8026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT33750 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1275958688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10109 SILVERTHORNE DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933148026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6212 TUDOR WAY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933067067",
"telephone_number": "661-871-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGALADO",
"first_name": "MARY ROSE",
"middle_name": "RESULTAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-20",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT33750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.